Taha Azimaie, MS, DMD, MSE

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17810 Issued in MD

Practice address

308 Main St
Gaithersburg, MD 20878-6574

Phone

(301) 747-0575

NPI assigned

Jun 14, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Azimaie Dental Group LLC

  • General Practice Dentistry
  • Gaithersburg, MD
  • NPI 1629812557
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1114595444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 ELSMERE CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141601",
            "telephone_number": "415-623-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786574",
            "telephone_number": "301-747-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMAIE",
        "first_name": "TAHA",
        "name_prefix": "Dr.",
        "credential": "MS, DMD, MSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02841700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN2000224",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Suzanne Axt
• Ashley Ayala
• Erick Azeh
• Azias Physical Therapy LLC
• Azimaie Dental Group LLC
• Andrew Aziz, DDS
• Don Azure, M.A.
• B&B Bio LLC
• Mariam Ba, LMSW
• Frederick S Bader, PA-C

• General Practice Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.